Iyini i-MRSA? Izimpawu, Izimbangela, Nokwelapha

I-MRSA imele i-Methicillin-resistant Staphylococcus aureus, uhlobo lwebhaktheriya oluye lwaba nokumelana namanani amaningi ama-antibiotic avamile. Cabanga ngayo njengenguqulo eqinile yebhaktheriya ye-staph evamile engaphenduli kwimithi evamile odokotela abayisebenzisayo ukwelapha ukutheleleka.

Nakuba i-MRSA izwakala iyesabekayo, empeleni ilawuleka kakhulu uma itholakala ngokushesha futhi iwelashwe kahle. Abantu abaningi bathela i-MRSA ebhaktheriya ekhulwini labo noma ekhaleni labo ngaphandle kokugula. Okubalulekile ukuqonda ukuthi nini iba yinkinga nokwazi ukuthi yini okufanele uyilinde.

Iyini i-MRSA?

I-MRSA yiyona nto yebhaktheriya ye-staph eyenze ukumelana ne-methicillin nezinye i-antibiotic ze-beta-lactam ezifana ne-penicillin. Lokhu kuqina kwenza ukutheleleka kwe-MRSA kube nzima ukwelapha kunokutheleleka okuvamile kwe-staph, kodwa akusikona okungenakwenzeka.

Ibhaktheriya ihlala ngokwemvelo ekhulwini lakho nasekhhaleni lakho, njenge-staph evamile. Ngezinye izikhathi, i-MRSA ayibangeli lutho. Noma kunjalo, uma ingena emzimbeni wakho ngezinhlungu, amaqatha, noma amadivayisi ezokwelapha, ingabangela ukutheleleka okuqala ezinkingeni ezincane zesikhumba kuya ekuthelelekeni okukhulu kwegazi.

Kunezinhlobo ezimbili eziyinhloko ze-MRSA. I-Hospital-acquired MRSA (HA-MRSA) ngokuvamile ithinta abantu ezindaweni zokunakekelwa kwezempilo, kuyilapho i-community-acquired MRSA (CA-MRSA) isakazeka phakathi kwabantu abaphilile ezindaweni zansuku zonke ezifana nezikole, ama-gym, noma amasondo okuhlanza.

Ziyini izimpawu ze-MRSA?

Izimpawu ze-MRSA ziyahluka kuye ngokuthi ukutheleleka kuvela kuphi emzimbeni wakho. Ukutheleleka kwesikhumba kuyinto evamile, kodwa i-MRSA ingathinta nawo amanye ama-tissue namalungu.

Nazi izimpawu ezivamile ongaziqaphela ngokutheleleka kwesikhumba kwe-MRSA:

• Ama-bumps noma ama-boils abomvu, avuvukile, futhi abuhlungu ekhulwini lakho
• Izindawo ezifudumele ezihlala zishisa uma zithintwa
• U-pus noma ukopha eziqatheni noma eziqatheni
• Ukuqina komkhuhlane okuhambisana nokutheleleka kwesikhumba
• Ubomvu obuvela endaweni yokutheleleka
• Izindawo ezibukeka njengezinkombandlela zezinambuzane kodwa azipholi

Lezi zimpawu zesikhumba ngokuvamile ziqala zincane kodwa zingasakazeka ngokushesha uma zingaphathwa. Indawo etheleleke ingase ibonakale njengesipontshi noma ukuluma kwezinambuzane ekuqaleni, kungakho abantu abaningi behlala beqeda ukufuna ukwelashwa.

Ukutheleleka okukhulu kwe-MRSA kungathinta igazi lakho, amaphaphu, noma izindawo zokuthunga. Izimpawu zokuqapha ukutheleleka okukhulu zihlanganisa ukuqina komkhuhlane, ukuthamba, ukuphefumula kanzima, ubuhlungu esifubeni, noma ukuzizwa ungaphili kahle. Lezi zimpawu zidinga ukunakekelwa kwezokwelapha ngokushesha.

Ezimeni ezingavamile, i-MRSA ingabangela izimo ezisongela impilo ezifana ne-sepsis, i-pneumonia, noma i-endocarditis (ukutheleleka kwevalvu yentliziyo). Lezi zinkinga ezinzima ngokuvamile zenzeka kubantu abanezimpawu zokulwa nezifo ezibuthakathaka noma abasezindaweni zezibhedlela.

Yini ebangela i-MRSA?

I-MRSA ithuthukiswa uma ibhaktheriya evamile ye-Staphylococcus aureus iguquka futhi ibe nokumelana ne-methicillin ne-antibiotic ehlobene. Lokhu kuqina kwenzeke eminyakeni eminingi yokusetshenziswa kwe-antibiotic, kuvumela izinhlobo zebhaktheriya ezinamandla ukuba ziphile futhi zande.

Ungathola i-MRSA ngokuxhumana ngqo nabantu abatheleleke noma izinto ezingcolile. Ibhaktheriya ingena emzimbeni wakho ngezinhlungu ekhulwini lakho, njengezinhlungu, amaqatha, amaqatha okuthunga, noma ngisho nokuvulwa okuncane ongaqapheli.

Izici eziningi zikhuphula amathuba akho okuhlangana ne-MRSA:

• Ukuthintana eduze nomuntu onale MRSA
• Ukuhlala ezibhedlela noma ezindaweni zokunakekelwa kwesikhathi eside
• Ukwabelana ngezinto zomuntu siqu ezifana nama-towels, ama-razors, noma imishini yezemidlalo
• Ukuba namadivayisi ezokwelapha afana nama-catheters noma ama-tubes okuphuma umoya
• Ukuhlanganyela emidlalweni yokuxhumana noma imisebenzi ezindaweni ezikhulu
• Ukuhlala ezindaweni ezikhulu ezifana nama-barracks ezempi noma ama-dormitories

Ibhaktheriya isakazeka kalula ezindaweni lapho abantu bexhumana khona ngokuvamile noma bahlanganyela imishini. Lokhu kuchaza ukuthi kungani izifo ze-MRSA ngezinye izikhathi zenzeka ezikoleni, emaqenjini ezemidlalo, noma ezindaweni zokugcinwa.

Ukusetshenziswa kwe-antibiotic kwamuva kungakhuphula nezingozi zakho. Uma uthatha i-antibiotic, zibulala ibhaktheriya evamile evamile egcina i-MRSA ilawulwa, okungenzeka kuvumele izinhlobo ezinamandla ukuba zikhule.

Nini okufanele ubone udokotela nge-MRSA?

Kufanele uxhumane nodokotela wakho uma uthuthukisa noma yiluphi ukutheleleka kwesikhumba olungathuthuki ezinsukwini ezimbalwa noma kubonakala sengathi kubi kakhulu. Ukwelashwa kwasekuqaleni kuvimbela ukutheleleka okuncane ukuba kube yinkinga enkulu.

Funa ukunakekelwa kwezokwelapha ngokushesha uma uqaphela ubomvu obuvela ebuhlungwini, uthuthukise umkhuhlane ngokutheleleka kwesikhumba, noma une-bumps ezigcwele i-pus ezisakazeka. Lezi zimpawu zibonisa ukuthi ukutheleleka kungase kuqhubekele ezinye izicubu.

Shaya i-emergency services noma uye e-emergency room uma uhlangabezana nezimpawu ezinzima ezifana nokuqina komkhuhlane, ukuphefumula kanzima, ubuhlungu esifubeni, noma ukuzizwa ungaphili kahle. Lokhu kungabonisa ukuthi i-MRSA isakazeke egazini lakho noma ezinye izitho.

Ungalindi uma unesongo elikhulu lokuba nezinkinga. Abantu abanezimpawu zokulwa nezifo ezibuthakathaka, izimo ezingapheli njengesi-diabetes, noma ukuhlinzwa kwamuva kufanele bafune ukunakekelwa kwezokwelapha ngokushesha nganoma yiziphi izinguquko zesikhumba ezikhathazayo.

Ziyini izici ezingozi ze-MRSA?

Izimo ezithile nezimo zikwenza kube lula ukuba uthuthukise ukutheleleka kwe-MRSA. Ukuqonda lezi zici ezingozi kukusiza ukuba uthathe izinyathelo ezifanele.

Izici ezingozi ezihlobene nokunakekelwa kwezempilo zihlanganisa:

• Ukuhlinzwa kwesibhedlela noma ukuhlinzwa kwamuva
• Ukuba namadivayisi ezokwelapha afana nama-catheters, ama-tubes okuthunga, noma imishini ye-dialysis
• Ukuhlala ezindaweni zokunakekelwa kwesikhathi eside
• Ukuthola ukwelashwa kwe-antibiotic okuvamile
• Ukuba namaqatha angapheli noma ama-pressure sores
• Ukuhlinzwa kwezindlela zokwelapha ezicasulayo

Izici ezingozi zekomyuniti ngokuvamile zihlanganisa izimo zokuxhumana eduze:

• Ukuhlanganyela emidlalweni yokuxhumana njengokulwa noma ibhola
• Ukuhlala ezindaweni ezikhulu
• Ukwabelana ngezinto zomuntu siqu ezifana nama-towels noma ama-razors
• Ukuba nezinhlungu noma amaqatha ekhulwini lakho
• Imikhuba emibi yokuhlanzeka
• Ukusebenzisa imishini yokuzivocavoca engcolile

Izimo ezithile zezempilo zikhuphula nobuthakathaka bakho. Abantu abanezimpawu zokulwa nezifo ezibuthakathaka, izimo zesikhumba ezingapheli njenge-eczema, noma izifo ezingapheli njengesi-diabetes babhekene nezingozi eziphezulu zokuthuthukisa ukutheleleka kwe-MRSA.

Ubudala busebenza futhi. Abantwana abancinyane kakhulu nabantu abadala banesongo elikhulu lokutheleleka okukhulu kwe-MRSA ngenxa yezimpawu zabo zokulwa nezifo ezithuthukayo noma ezihlakeleyo.

Ziyini izinkinga ezingase zenzeke nge-MRSA?

Ukutheleleka okuningi kwe-MRSA kuhlala kuhlala ekhulwini futhi kuphendula kahle ekwelapheni okufanele. Noma kunjalo, ibhaktheriya ngezinye izikhathi ingasakazeka kwezinye izingxenye zomzimba wakho, ibangela izinkinga ezinzima kakhulu.

Izinkinga ezivamile ezingase zithuthuke zihlanganisa:

• I-Cellulitis (ukutheleleka okukhulu kwesikhumba ne-tissue)
• Ukwenziwa kwama-abscess okudinga ukususwa
• Ukutheleleka kwama-bone nama-joint (osteomyelitis)
• Ukutholakala kwegazi (sepsis)
• I-Pneumonia ethinta amaphaphu akho
• Ukutheleleka kwevalvu yentliziyo (endocarditis)

I-Sepsis imele inkinga enkulu kunazo zonke, lapho i-MRSA ingena egazini lakho futhi ibonise impendulo yokuvikela umzimba esongela impilo. Lokhu kungabangela ukwehluleka kwezitho futhi kudinge ukunakekelwa okusheshayo okukhulu.

Ezimeni ezingavamile, i-MRSA ingabangela i-necrotizing fasciitis, ukutheleleka okusakazekayo ngokushesha okubhubhisa isikhumba, amanoni, namanye ama-tissue. Lesi sifo sokudla inyama sidinga ukwelashwa okuphuthumayo okuhlinzwa ukususa i-tissue etheleleke.

Izindaba ezinhle ukuthi izinkinga ezinzima azivamile uma ukutheleleka kwe-MRSA kuthola ukunakekelwa kwezokwelapha okusheshayo, okufanele. Abantu abaningi bayaphila ngokuphelele ngokwelashwa okufanele kwe-antibiotic.

I-MRSA ingavikeleka kanjani?

Unganciphisa kakhulu ingozi yakho ye-MRSA ngemikhuba elula yokuhlanzeka nezinyathelo zokuphepha eziqondakalayo. Ukuhlanzeka kwezandla kuhlala kuyindlela yakho enamandla kakhulu yokulwa nokutheleleka.

Izindlela zokuvimbela ezibalulekile zihlanganisa:

• Ukugeza izandla zakho njalo ngesepha namanzi okungenani imizuzwana engu-20
• Ukusebenzisa i-hand sanitizer esekelwe e-alcohol uma isepha lingatholakali
• Ukuhlanza amaqatha namaqatha futhi uwagubungule ngama-bandages
• Ukuqeda ukwabelana ngezinto zomuntu siqu ezifana nama-towels, ama-razors, noma izingubo
• Ukuhlanza imishini ye-gym ngaphambi nangemva kokusebenzisa
• Ukugeza ngokushesha ngemva kwemidlalo noma ukuzivocavoca

Ezindaweni zokunakekelwa kwezempilo, ukulandela izinyathelo zokuhlukaniswa kubalulekile. Uma uvakashela umuntu onale MRSA, gqoka izihlangu nama-gowns njengoba kuqondiswe abasebenzi bezempilo, futhi uhlale ugeza izandla zakho ngaphambi kokushiya igumbi.

Abadlali bezemidlalo kufanele bathathe izinyathelo ezengeziwe ngokuhlala bekhulwini labo livalekile ngesikhathi semidlalo yokuxhumana, bangabelani ngemishini, futhi babike noma yikuphi ukutheleleka kwesikhumba kubafundisi noma abaqeqeshi ngokushesha.

Ukugcina uhlelo lokulwa nezifo oluqinile ngokudla okuhle, ukulala okwanele, nokuzivocavoca okuvamile kusiza umzimba wakho ukuba ulwe nokutheleleka ngokwemvelo.

I-MRSA ihlonishwa kanjani?

Udokotela wakho uzohlonza i-MRSA ngokuhlola kwelebhu kwamasampula asuka endaweni etheleleke. Lo mkhuba ngokuvamile uhlanganisa ukuthatha isiko ebuhlungwini bakho, ezinhlangothini zekhala, noma kwezinye izindawo ezithintekile.

Indlela evamile yokuhlola yi-wound culture, lapho umhlinzeki wakho wezokwelapha ethatha khona i-pus noma i-fluid esuka endaweni yokutheleleka usebenzisa i-swab ehlanzekile. Lo musampula uya e-laboratory ukuhlolwa ukuze uhlonze ibhaktheriya ethile futhi ubone ukuthi yiziphi i-antibiotic ezizosebenza kangcono.

Imiphumela ye-laboratory ngokuvamile ithatha amahora angu-24 kuya kwangu-48 ukubuya. Ngalesi sikhathi, udokotela wakho angase aqhubeke nokusebenzisa i-antibiotic ngokubukeka kokutheleleka kwakho nezici zakho ezingozi.

Ezimweni ezithile, udokotela wakho angase ayalele ukuhlolwa okuqhubekayo njenge-blood cultures uma becabanga ukuthi ukutheleleka kusakazeke ngaphezu kwesikhumba sakho. Lezi zivivinyo zisiza ekuqondeni ukuthi i-MRSA ingene egazini lakho.

Izindlela zokuhlola ngokushesha ziyaqala ukuba khona ezindaweni ezithile zokunakekelwa kwezempilo. Lezi zivivinyo ezintsha zingakwazi ukunikeza imiphumela emahoreni ambalwa nje, okuvumela izinqumo zokwelapha ezisheshayo.

Ukuphathwa kwe-MRSA kuyini?

Ukuphathwa kwe-MRSA kuyahluka kuye ngokukhulu nokwenzeka kokutheleleka kwakho. Ukutheleleka okuningi kwesikhumba kungaphathwa ngempumelelo nge-antibiotic ethile esebenza ngokumelene nebhaktheriya eqinile.

Ngokutheleleka okuncane kwesikhumba, udokotela wakho angase abhale i-antibiotic yomlomo efana nale:

• Clindamycin
• Trimethoprim-sulfamethoxazole (Bactrim)
• Doxycycline noma minocycline
• Linezolid ngezimo ezinzima kakhulu

Ukutheleleka okukhulu ngokuvamile kudinga i-antibiotic ye-intravenous esibhedlela. I-Vancomycin iye yaba yindlela evamile yokutheleleka okukhulu kwe-MRSA, nakuba izinketho ezintsha ezifana ne-daptomycin, i-linezolid, ne-ceftaroline nazo ziphumelela.

Ama-abscess amakhulu noma ukuqoqwa kwe-pus ngokuvamile kudinga ukususwa okuhlinzwa ngaphezu kwe-antibiotic. Udokotela wakho uzothunga isiqongo esincane ukususa izinto ezingcolile, okusiza i-antibiotic ukuba isebenze kahle.

Isikhathi sokwelashwa ngokuvamile sihlala kusuka ezinsukwini ezingama-7 kuya kwengu-10 ngokutheleleka kwesikhumba, kodwa singandela emakhulwini amaningana ngokutheleleka okukhulu. Kubalulekile ukuqedela lonke uhlelo lwe-antibiotic, ngisho noma uzizwa kangcono ngaphambi kokuphela komuthi.

Ezimeni ezingavamile zezinkinga ezinzima ezifana ne-endocarditis noma i-osteomyelitis, ukwelashwa kungadinga amaviki e-antibiotic ye-intravenous, ngezinye izikhathi kulandela i-antibiotic yomlomo.

Ungayiphatha kanjani i-MRSA ekhaya?

Ukukhathalela ekhaya kudlala indima ebalulekile ekuphileni kwakho ekuthelelekeni kwe-MRSA. Ukulandela imiyalo yodokotela wakho ngokucophelela kusiza ukuqinisekisa ukuthi ukutheleleka kuyaqeda ngokuphelele futhi akuthinteli abanye.

Izinyathelo ezibalulekile zokuphatha ekhaya zihlanganisa:

• Ukuthatha yonke i-antibiotic ebhaliwe ngokuqondile njengoba kuqondiswe
• Ukuhlala izindawo ezingcolile zihlanzekile futhi zigcwele ngama-bandages amasha
• Ukugeza izandla zakho ngaphambi nangemva kokuthinta indawo etheleleke
• Ukusebenzisa ama-compress afudumele ukunciphisa ubuhlungu nokukhuthaza ukuphulukisa
• Ukuqeda ukukhetha noma ukucindezela ama-bumps atheleleke
• Ukuhlukanisa izingubo zakho nokugeza izinto emanzini ashisayo

Ukuphathwa kobuhlungu kungaphathwa ngemithi engaphezu kokuthengwa njenge-ibuprofen noma i-acetaminophen. Lokhu kusiza futhi ukunciphisa ukuvuvukala futhi kukwenze ukhululeke ngesikhathi sokuphulukisa.

Hlola ukutheleleka kwakho nsuku zonke ngezimpawu zokuthuthuka noma ukubona okubi. Indawo kufanele ibe mncane ngokuhamba kwesikhathi, ivuvuke, futhi ibe buhlungu njengoba ukwelashwa kuqhubeka.

Ukuvimbela ukusakazeka kwe-MRSA kubalandeli bakho, gwema ukwabelana ngezinto zomuntu siqu, hlanza izinto oziphindaphindile uziphenduke, futhi ugcine imikhuba emihle yokuhlanzeka kulo lonke ukwelashwa kwakho.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola ukunakekelwa okuphumelelayo kokutheleleka kwakho kwe-MRSA. Ukuba nolwazi olufanele okulungile kulondoloza isikhathi futhi kuholela ezinqumweni zokwelapha ezinhle.

Ngaphambi kokuya kwakho, bhala imininingwane ngezimpawu zakho kufaka phakathi ukuthi zaqala nini, ziguquke kanjani, futhi yini eyenza zibe ngcono noma zibe zimbi. Thatha izithombe zendawo etheleleke uma kungenzeka, ikakhulukazi uma ukubukeka kuguquka phakathi kokuhlela ne-aphoyintimenti yakho.

Bula imininingwane ebalulekile yezokwelapha efana nale:

• Ukuhlinzwa kwesibhedlela noma ukuhlinzwa kwamuva
• Imithi yamanje kanye nezinye izinto
• Ukutheleleka okwaziwayo, ikakhulukazi kwi-antibiotic
• Ukusetshenziswa kwe-antibiotic kwamuva ezinyangeni ezimbalwa ezedlule
• Ukuthintana nanoma ubani owayenale MRSA noma ezinye izifo
• Imisebenzi engase ibe yikhombandlela ebhaktheriya

Lungisa imibuzo ofuna ukuyibuza udokotela wakho, njengokuthi ukwelashwa kuzothatha isikhathi esingakanani, nini ongabuyela emisebenzini evamile, nezibonakaliso zokuqapha okumele uzilinde.

Cabanga ukuletha ilungu lomndeni noma umngani ukukusiza ukukhumbula imininingwane ebalulekile, ikakhulukazi uma uzizwa ungaphili kahle noma ukhathazekile ngokuhlolwa.

Iyini into ebalulekile nge-MRSA?

I-MRSA ukutheleleka kwe-bacterial okwelashwayo okuphendula kahle ekunakekelweni kwezokwelapha okufanele uma kutholakala ngokushesha. Nakuba ukumelana ne-antibiotic evamile kwenza kube nzima ukwelapha kunokutheleleka okuvamile kwe-staph, izinketho zokwelapha eziphumelelayo zitholakala kalula.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-MRSA ayisiyona isahlulelo sokufa. Abantu abaningi bayaphila ngokuphelele ngokwelashwa okufanele kwe-antibiotic nokunakekelwa okuhle kwamaqatha. Ukuqaphela kwasekuqaleni nokunakekelwa kwezokwelapha okusheshayo yizixhobo zakho ezinhle kakhulu zokubuyela ngokuphelele.

Ukuvimbela kuhlala kuyindlela yakho enamandla kakhulu yokulwa ne-MRSA. Imikhuba elula yokuhlanzeka njengokuhlanza izandla njalo, ukuhlanza amaqatha futhi uwagubungule, nokugwema ukwabelana ngezinto zomuntu siqu kunganciphisa kakhulu ingozi yakho yokutheleleka.

Uma uthuthukisa noma yikuphi ukutheleleka kwesikhumba okukhathazayo, ungangabazi ukufuna ukunakekelwa kwezokwelapha. Umhlinzeki wakho wezokwelapha angakwazi ukubona ngokushesha uma une-MRSA futhi aqale ukwelashwa okufanele ukuvimbela izinkinga.

Imibuzo evamile ebuzwa nge-MRSA

Ingaphiliswa ngokuphelele yini i-MRSA?

Yebo, ukutheleleka kwe-MRSA kungaphiliswa ngokuphelele ngokwelashwa okufanele kwe-antibiotic. Nakuba ibhaktheriya imelelana ne-antibiotic ethile, imithi eminingi ephumelelayo ingasusa ukutheleleka. Abantu abaningi bayaphila ngokuphelele uma ukwelashwa kuqala ngokushesha futhi kuqedwe njengoba kuqondiswe.

Ingabe i-MRSA iyadluliseka futhi ihlala isikhathi esingakanani idluliseka?

I-MRSA iyadluliseka futhi isakazeka ngokuxhumana ngqo namaqatha atheleleke noma izinto ezingcolile. Ngokuvamile uyaqeda ukuba nodlame emahoreni angu-24 kuya kwangu-48 ngemuva kokuqala ukwelashwa okuphumelelayo kwe-antibiotic. Noma kunjalo, abanye abantu bangase bathela ibhaktheriya ye-MRSA ekhulwini labo noma ekhaleni labo ngaphandle kokuba nokutheleleka okusebenzayo.

Ungathola i-MRSA ngaphezu kwesikhathi esisodwa?

Yebo, ungathola ukutheleleka kwe-MRSA izikhathi eziningi. Ukuba ne-MRSA kanye akuhlinzeki ngokukhululeka ekuthelelekeni kwesikhathi esizayo. Abanye abantu banesongo elikhulu lokutheleleka okuphindaphindayo, ikakhulukazi uma bathela ibhaktheriya ekhulwini labo noma banesici esingozini ezifana nezimpawu zokulwa nezifo ezibuthakathaka noma izimo zesikhumba ezingapheli.

Ukuphathwa kwe-MRSA ngokuvamile kuthatha isikhathi esingakanani?

Isikhathi sokwelashwa sihluka kuye ngokukhulu nokwenzeka kokutheleleka. Ukutheleleka okulula kwesikhumba ngokuvamile kudinga izinsuku ezingama-7 kuya kwengu-10 ze-antibiotic, kuyilapho ukutheleleka okukhulu kungadinga amaviki amaningana okwelashwa. Izinkinga ezinzima ezifana nokutheleleka kwama-bone zingadinga izinyanga zokwelashwa kwe-antibiotic.

Ingabe i-MRSA ingathinta abantu abaphilile noma kuphela labo abanezimpawu zokulwa nezifo ezibuthakathaka?

I-MRSA ingathinta bobabili abantu abaphilile nalabo abanezimpawu zokulwa nezifo ezibuthakathaka. I-Community-acquired MRSA ngokuvamile ithinta abantu abaphilile, ikakhulukazi abadlali bezemidlalo nabantu ezimweni zokuxhumana eduze. Noma kunjalo, abantu abanezimpawu zokulwa nezifo ezibuthakathaka, izimo ezingapheli, noma ukuhlinzwa kwamuva babhekene nezingozi eziphezulu zezinkinga ezinzima.